This provider's $21.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.9x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $7.6K | $594.26 | 12.72x | $7.0K | $1.5M | 2.7K | 2.3K |
| 2015 | $7.4K | $621.59 | 11.88x | $6.8K | $1.7M | 3.1K | 2.6K |
| 2016 | $7.7K | $612.99 | 12.61x | $7.1K | $1.9M | 3.4K | 2.9K |
| 2017 | $8.7K | $646.99 | 13.48x | $8.1K | $2.1M | 3.5K | 2.9K |
| 2018 | $8.7K | $644.14 | 13.56x | $8.1K | $2.1M | 3.6K | 3.0K |
| 2019 | $9.9K | $768.57 | 12.91x | $9.1K | $2.4M | 4.0K | 3.4K |
| 2020 | $9.8K | $779.04 | 12.62x | $9.1K | $2.0M | 3.1K | 2.6K |
| 2021 | $8.1K | $735.48 | 10.96x | $7.3K | $2.2M | 3.5K | 2.8K |
| 2022 | $10.3K | $715.52 | 14.44x | $9.6K | $2.4M | 3.9K | 3.2K |
| 2023 | $12.6K | $1.0K | 12.33x | $11.6K | $2.7M | 4.0K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 14.0K | $10.9M | $778.85 | 8.97x |
| 45380 | Biopsy of large bowel using an endoscope | 5.1K | $1.6M | $311.06 | 22.13x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.0K | $1.2M | $398.63 | 17.97x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.2K | $907.2K | $281.66 | 24.54x |
| 0191T | Internal insertion of eye fluid drainage device | 398 | $797.5K | $2.0K | 3.41x |
| 66982 | Removal of cataract with insertion of lens | 782 | $596.8K | $763.11 | 8.61x |
| 65820 | Incision to improve eye fluid flow | 378 | $565.2K | $1.5K | 5.11x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 277 | $523.9K | $1.9K | 6.48x |
| 64721 | Release and/or relocation of median nerve of hand | 579 | $349.6K | $603.75 | 11.56x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 786 | $312.4K | $397.52 | 14.17x |
| 55700 | Biopsy of prostate gland | 454 | $276.1K | $608.14 | 10.92x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 873 | $263.5K | $301.81 | 21.98x |
| 29881 | Removal of one knee cartilage using an endoscope | 263 | $261.1K | $992.92 | 15.41x |
| 50590 | Shock wave crushing of kidney stones | 212 | $258.6K | $1.2K | 12.25x |
| 29880 | Removal of both knee cartilages using an endoscope | 211 | $208.1K | $986.13 | 15.04x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 353 | $187.0K | $529.82 | 13.77x |
| 26055 | Incision of tendon covering | 340 | $163.4K | $480.52 | 14.39x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 401 | $156.5K | $390.34 | 13.84x |
| 45381 | Injections of large bowel using an endoscope | 655 | $130.0K | $198.49 | 26.67x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 426 | $102.8K | $241.32 | 17.10x |
This provider submits charges 11.9 times higher than what Medicare actually pays.
A markup ratio of 11.9x means for every $100 Medicare pays, this provider initially charges $1190. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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